Frozen shoulder, also known adhesive capsulitis, is a painful condition. Shoulder pain, as well as restrictions on both active and passive range of motion in every direction are the typical symptoms. Several treatment plans have been discussed in literature as rest, non-steroidal anti-inflammatory drugs (NSAIDs), active and passive mobilisation.
Image guided intraarticular injections and suprascapular nerve block have recently been recognized methods in pain management of frozen shoulder particularly during painful stage as they help to alleviate the pain and reduce inflammation thus helping the patient to maintain more discipline to physiotherapy.
Aim of the Work
The aim of this work was to test the efficacy of ultrasound guided combined intra-articular injection and supra-scapular nerve block in pain control in patient with frozen shoulder.
PATIENTS and Methods:
This study was carried out on 40 patients with painful frozen shoulder were randomly treated with either combined intra-articular steroid injection(IACSI) and suprascapular nerve block (SSNB) (n=20) or supra-scapular nerve block alone (SSNB) (n=20).Clinical response was assessed at 4 and 8 weeks post procedural interval compared to the baseline using visual analogue score (VAS) and oxford shoulder score (OSS).